SPRINGFIELD MEDICAL CARE SYSTEMS INC
PO Box 2003, Springfield, VT 05156 www.springfieldmed.org

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Organizations Filed Purposes: Our mission is to excel at providing personalized, quality care; where people come first. Our vision is to be the provider of choice by creating a professional environment where patients want to receive care, clinicians want to practice medicine, (Continued on Schedule O) and employees want to work. Our plan is to accomplish this by: - Empowering our caregivers with education, technology, and opportunities for personal and professional development;- Creating an environment, which builds collaborative relationships among clinicians, staff, and patients;- Providing our communities with the educational resources and support to make informed decisions emphasizing prevention and wellness; and,- Offering safe, personalized, high-quality care.

Federally Qualified Health Care network providing medical, behavioral health, dental & pharmacy services

Springfield Medical Care Systems (SMCS) operates a nine-site, federally-qualified health center network. These offices provide access for primary and preventive health care to the general population, and make financial assistance and charity care available to all based on a sliding fee scale. Services include primary and preventive health care for people of all ages, pediatrics, health screenings, behavioral health programs, dental care, vision care, and a 340B discount pharmacy program. SMCS operates Ludlow Dental Center in Ludlow, VT, and Chester Family Dental in Chester, VT. Through its integrated care model, SMCS also offers diagnostic lab, radiology, and a full array of acute hospital and specialty services to its patients through Springfield Hospital, a subsidiary, and other referral sources and partnership arrangements.Primary Care Services - Our primary care network provides ongoing care and outreach to our service area, utilizing a medical home model of care and focusing on prevention and efficient care management. We work closely with the Quality Improvement Collaborative and the Vermont Blueprint for Health to develop and implement strategies for improving overall population health outcomes. Primary care offices, specialty clinics, the local hospital, and appropriate referral sources for specialists and tertiary care when needed, are utilized to provide the best possible outcomes. Our goal is to deliver the highest quality care, i.e. appropriate care provided in the appropriate setting, with the end result being improved health outcomes, high patient satisfaction, and improved cost efficiency. A Community Health Team holds monthly public meetings to collaborate and partner with area agencies to remove barriers and improve access to care. The team now approximates 45 organizations and communicates regularly with hundreds of individual participants. New members are welcomed at each meeting as word of the team spreads throughout the community. The Team serves as a central community contact point (similar to a hub and spoke model) to facilitate communications, networking and collaboration among all area services.Through the employment of primary care physicians and allied health professionals in Charlestown, NH; Ludlow, VT; Bellows Falls, VT; Londonderry, VT; and Springfield, VT, SMCS provides access to high quality medical care with emphasis on prevention and wellness in these communities. Due to the tenuous economics of rural primary care practices, this physician availability would not exist without SMCS support. The Ludlow area has been designated by the State of Vermont as a Health Professional Shortage Area. The state and federal governments have designated the Bellows Falls, VT and Charlestown, NH areas as serving a medically-underserved population. These health centers serve an inordinately high Medicare and Medicaid caseload. During FY 2019, SMCS served a total of 26,681 patients and provided 83,777 visits. Behavioral HealthSMCS has a comprehensive outpatient Mental Health/ Substance abuse program and provides outpatient behavioral health counseling and collaborates with The Windham Center -- the inpatient psychiatric unit operated by its subsidiary, Springfield Hospital. With early adoption of Healthy People and NCQI Medical Home guidelines, SMCS aggressively integrated behavioral health counseling with primary care medical care by virtue of the on-site stationing of behavioral health at its primary care (FQHC) sites. SMCS practitioners coordinate care with Springfield Hospital inpatient services and, to an even greater extent, work with Springfield Hospital emergency department to assist in managing patients that present with mental health related diagnosis. During the FY 2019, SMCS served 2,620 mental health patients and provided 16,548 visits.Dental Care - SMCS' Ludlow and Chester offices serve a growing need for dental services throughout the SMCS primary care service area. Patients from all offices can be referred to the Dental Centers for care, and a financial assistance program is available for those needing assistance, based on a sliding fee scale. The two locations provided 8,929 visits. Vision - SMCS offers vision services through Lane Eye Associates in Springfield, VT and offers comprehensive eye care services including ophthalmology and optometry. In 2019, Lane served 3,557 patients and provided 5,202 visits.Plastic, Cosmetic & Reconstructive Surgery - Skin Cancer ClinicSMCS offers plastic, reconstructive and cosmetic surgery services, including skin cancer screening, through the office of Gerald A. Drabyn, MD. In the 2019 fiscal year, which ended September 30, 2019, Dr. Drabyn saw patients at Springfield, Charlestown, and Londonderry health center locations and provided care to 589 patients with 1,070 visits.Pharmacy Program - SMCS operates a 340B pharmacy charity program that helps expand access to affordable medications. Eligible patients can obtain their prescriptions at little to no cost. This program operates in partnership with five local pharmacies in Vermont: Bellows Falls, Springfield, and Ludlow, ands well as two pharmacies in Claremont, NH. Financial assistance for this program totaled approximately $25K.Charity Care Policy - SMCS has a charity care policy under which patients who meet certain criteria will receive care without charge, or at amounts less than established rates. Patients qualify for 50% charity care at up to 200% of the federal poverty guideline. SMCS does not bill patients nor pursue collection of amounts determined to qualify as charity care. In the fiscal year, which ended on September 30, 2019, charges foregone for charity care, based on established rates, amounted to approximately $223K.Springfield UrologySMCS offers urology services at Springfield Urology, 29 Ridgewood Road, Springfield, VT. This service offers patients a local option for needed care and patients from all offices can be referred to this location. This service was transferred over to Springfield Hospital, a related organization in May 2019. In 2019, this office provided 2,914 patient visits. Eligibility Assistance and Enrollment Counseling ServicesSMCS works in partnership with Valley Health Connections (a 501(c)3 non-profit organization), to provide SMCS patients certified enrollment assistance and consults to help remove barriers and facilitate access to health care for uninsured and under-insured people. VHC reports many people need guidance to navigate insurance enrollment processes and even through insured, care remains difficult to afford for many Vermonters. These services include enrollment assistance for preventive health care, health education and screenings, referrals to providers for ongoing health care through a medical/dental home, and assistance with enrollment in State and local programs that help pay for health care, medication, dental, and other public programs. Consults are also provided for SMCS New Hampshire residents who need assistance accessing NH services. Valley Health Connections provides assistance to approximately 1,500 to 1,600 patients per year.Child Day Care Services - SMCS operates two child day care services, with sites located in Springfield and Bellows Falls, VT. The Bellows Falls program serves children ages six weeks to six years and the Springfield program serves children six weeks to five years. Access to safe and educational day care is a vital component to a healthy community. SMCS provides this service to the general population, and financial assistance is available to those in need based on a sliding fee scale. During fiscal year 2019, SMCS provided care to 19 children in Bellows Falls and 28 children in Springfield with a profit of $56k.Subsidiary - SMCS is the parent corporation of Springfield Hospital. Springfield Hospital is a 25-bed critical access hospital located in Springfield, VT. Springfield Hospital also operates The Windham Center, a comprehensive inpatient psychiatric care hospital in Bellows Falls, VT; off-site physical therapy services, three hospital-owned specialty clinics: ENT, surgery, orthopedics, and an adult day care center in Springfield, VT.

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